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Individual

KAREN P DECARIO-WEBBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
4274 WASHINGTON RD, SUITE 3, EVANS, GA 30809-3070
(706) 210-9380
Mailing address
PO BOX 5545, AUGUSTA, GA 30916-5545
(706) 210-9380

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT008623
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PT008623
GA PT LICENSE
GA
Enumeration date
03/03/2011
Last updated
03/03/2011
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  • EDI platform